Individual
LILANTHA P HERMAN FERDINANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2408 BROADMOOR BLVD, MONROE, LA 71201-2994
(318) 410-0002
Mailing address
130 DESIARD ST, SUIE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
208036
LA
Other
Enumeration date
05/19/2010
Last updated
08/06/2015
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